Neutrophil-Lymphocyte Ratio (NLR), Lymphocyte-Monocyte Ratio (LMR), and Neutrophil-Platelet Ratio (NPR) as tools in predicting hemorrhagic conversion among patients diagnosed with acute ischemic stroke at De La Salle University Medical Center

Publication Date

2000

Document Type

Research

Abstract

This study aims to evaluate the role of Neutrophil-Lymphocyte Ratio (NLR), Lymphocyte-Monocyte Ratio (LMR), and Neutrophil-Platelet Ratio (NPR) in predicting hemorrhagic conversion in patients diagnosed with Acute Ischemic Stroke as depicted on cranial CT scan or MRI. This study was conducted in the CT-MRI section of the Department of Radiology in De La Salle University Medical Center, a tertiary hospital located in Dasmariñas City, Cavite, from the period of January 2016 to December 2020. All patients who met the inclusion criteria was included in the study. Baseline NLR, LMR and NPR are good predictive parameters of hemorrhagic conversion for acute ischemic stroke. Having the highest AUC of 0.722 and accuracy of 73.64%, the NLR has the strongest predictive ability to predict hemorrhagic conversion in acute ischemic stroke at the cut-off value of >4.5. The cut-off value of < =4.3 for LMR and >27.67 for NPR also have acceptable predictability for hemorrhagic conversion in acute ischemic stroke with an accuracy of 65.89% and 65.12%, respectively.

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